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WO2023137388A3 - Systems and methods for prone lateral spine surgery - Google Patents

Systems and methods for prone lateral spine surgery Download PDF

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Publication number
WO2023137388A3
WO2023137388A3 PCT/US2023/060571 US2023060571W WO2023137388A3 WO 2023137388 A3 WO2023137388 A3 WO 2023137388A3 US 2023060571 W US2023060571 W US 2023060571W WO 2023137388 A3 WO2023137388 A3 WO 2023137388A3
Authority
WO
WIPO (PCT)
Prior art keywords
posterior
distractor
swivel tube
swivel
methods
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2023/060571
Other languages
French (fr)
Other versions
WO2023137388A2 (en
Inventor
Maahir HAQUE
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Giddu Phutana Inc
Original Assignee
Giddu Phutana Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Giddu Phutana Inc filed Critical Giddu Phutana Inc
Priority to EP23740840.6A priority Critical patent/EP4463078A4/en
Priority to US18/555,208 priority patent/US12042405B2/en
Priority to JP2024542303A priority patent/JP2025501404A/en
Priority to CN202380026090.9A priority patent/CN118900664B/en
Priority to AU2023208039A priority patent/AU2023208039B2/en
Publication of WO2023137388A2 publication Critical patent/WO2023137388A2/en
Publication of WO2023137388A3 publication Critical patent/WO2023137388A3/en
Priority to US18/752,683 priority patent/US20240374401A1/en
Anticipated expiration legal-status Critical
Priority to US18/797,386 priority patent/US20250032274A1/en
Priority to US18/984,777 priority patent/US12485023B2/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0206—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6408—Devices not permitting mobility, e.g. fixed to bed, with or without means for traction or reduction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
    • A61B17/708—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae with tubular extensions coaxially mounted on the bone anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B2017/681—Alignment, compression, or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108—Computer aided selection or customisation of medical implants or cutting guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pathology (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)

Abstract

Internal fixation systems and methods for prone lateral spine surgery on a patient. The system comprises a lateral lumbar interbody fusion (LLIF) retractor and a posterior compressor/distractor including a posterior distractor rack assembly having a rack and a posterior distractor carriage assembly configured to operably engage the posterior distractor rack assembly. The posterior distractor rack assembly includes a first swivel tube subassembly having a first swivel tube, and the posterior distractor carriage assembly includes a second swivel tube subassembly having a second swivel tube. The first and second swivel tubes are each configured to receive a pedicle screw and screw tower therein. The first and second swivel tube subassemblies are configured to be moved and positioned with respect to each other, such that a surgeon can access the patient' s disc space from the left and right sides, and without the need for a bolster.
PCT/US2023/060571 2022-01-13 2023-01-12 Systems and methods for prone lateral spine surgery Ceased WO2023137388A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
EP23740840.6A EP4463078A4 (en) 2022-01-13 2023-01-12 SYSTEMS AND PROCEDURES FOR ABDOMINAL SPINAL SURGERY
US18/555,208 US12042405B2 (en) 2022-01-13 2023-01-12 Systems and methods for prone lateral spine surgery
JP2024542303A JP2025501404A (en) 2022-01-13 2023-01-12 Systems and methods for prone lateral spinal surgery
CN202380026090.9A CN118900664B (en) 2022-01-13 2023-01-12 Systems and methods for prone lateral spinal surgery
AU2023208039A AU2023208039B2 (en) 2022-01-13 2023-01-12 Systems and methods for prone lateral spine surgery
US18/752,683 US20240374401A1 (en) 2022-01-13 2024-06-24 Systems and methods for prone lateral spine surgery
US18/797,386 US20250032274A1 (en) 2022-01-13 2024-08-07 Systems and methods for prone lateral spine surgery
US18/984,777 US12485023B2 (en) 2022-01-13 2024-12-17 Systems and methods for prone lateral spine surgery

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US202263299279P 2022-01-13 2022-01-13
US63/299,279 2022-01-13
US202263306785P 2022-02-04 2022-02-04
US63/306,785 2022-02-04

Related Child Applications (3)

Application Number Title Priority Date Filing Date
US18/555,208 A-371-Of-International US12042405B2 (en) 2022-01-13 2023-01-12 Systems and methods for prone lateral spine surgery
US18/752,683 Continuation US20240374401A1 (en) 2022-01-13 2024-06-24 Systems and methods for prone lateral spine surgery
US18/797,386 Continuation US20250032274A1 (en) 2022-01-13 2024-08-07 Systems and methods for prone lateral spine surgery

Publications (2)

Publication Number Publication Date
WO2023137388A2 WO2023137388A2 (en) 2023-07-20
WO2023137388A3 true WO2023137388A3 (en) 2023-09-28

Family

ID=87279729

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2023/060571 Ceased WO2023137388A2 (en) 2022-01-13 2023-01-12 Systems and methods for prone lateral spine surgery

Country Status (6)

Country Link
US (4) US12042405B2 (en)
EP (1) EP4463078A4 (en)
JP (1) JP2025501404A (en)
CN (1) CN118900664B (en)
AU (1) AU2023208039B2 (en)
WO (1) WO2023137388A2 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2025501404A (en) * 2022-01-13 2025-01-17 パースペクティブ テクノロジーズ，エルエルシー Systems and methods for prone lateral spinal surgery

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080021285A1 (en) * 2006-01-04 2008-01-24 Anne Drzyzga Surgical retractor for use with minimally invasive spinal stabilization systems and methods of minimally invasive surgery
US20090222045A1 (en) * 2008-02-28 2009-09-03 K2M, Inc. Minimally Invasive Retractor and Methods of Use
US20100298885A1 (en) * 2009-05-22 2010-11-25 Clifford Tribus Fixation-based surgery
US20170049428A1 (en) * 2015-08-18 2017-02-23 Globus Medical, Inc. Devices and systems for surgical retraction
US20210353277A1 (en) * 2020-05-12 2021-11-18 Innovasis, Inc. Systems and methods for surgical retraction

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CN2619600Y (en) * 2003-02-10 2004-06-09 唱润福 Rotary tracting support for cervical vertebrae
ES2339666T3 (en) * 2003-12-10 2010-05-24 Cervitech, Inc. INSTRUMENTAL TO INSERT AN INTERVERTEBRAL ARTICULATION PROTESIS.
US8114016B2 (en) * 2008-03-04 2012-02-14 GoMedica Technologies Co., Ltd. Modular surgery retractor system
US8535318B2 (en) 2010-04-23 2013-09-17 DePuy Synthes Products, LLC Minimally invasive instrument set, devices and related methods
US8827902B2 (en) * 2010-08-16 2014-09-09 Donald David DIETZE, Jr. Surgical instrument system and method for providing retraction and vertebral distraction
ES2544994T3 (en) * 2012-09-06 2015-09-07 Medacta International S.A. Surgical device for minimally invasive spinal fusion and surgical system comprising the same
US10709434B2 (en) * 2013-07-09 2020-07-14 Globus Medical, Inc. Surgical access systems and methods
JP2025501404A (en) * 2022-01-13 2025-01-17 パースペクティブ テクノロジーズ，エルエルシー Systems and methods for prone lateral spinal surgery

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080021285A1 (en) * 2006-01-04 2008-01-24 Anne Drzyzga Surgical retractor for use with minimally invasive spinal stabilization systems and methods of minimally invasive surgery
US20090222045A1 (en) * 2008-02-28 2009-09-03 K2M, Inc. Minimally Invasive Retractor and Methods of Use
US20100298885A1 (en) * 2009-05-22 2010-11-25 Clifford Tribus Fixation-based surgery
US20170049428A1 (en) * 2015-08-18 2017-02-23 Globus Medical, Inc. Devices and systems for surgical retraction
US20210353277A1 (en) * 2020-05-12 2021-11-18 Innovasis, Inc. Systems and methods for surgical retraction

Also Published As

Publication number Publication date
US12485023B2 (en) 2025-12-02
US20250114217A1 (en) 2025-04-10
JP2025501404A (en) 2025-01-17
US20240374401A1 (en) 2024-11-14
CN118900664B (en) 2025-11-18
AU2023208039A1 (en) 2024-07-25
CN118900664A (en) 2024-11-05
WO2023137388A2 (en) 2023-07-20
EP4463078A4 (en) 2025-12-24
US12042405B2 (en) 2024-07-23
US20250032274A1 (en) 2025-01-30
AU2023208039B2 (en) 2025-11-20
EP4463078A2 (en) 2024-11-20
US20240189115A1 (en) 2024-06-13

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